Patient Registration Representative, Admitting Er

Patient Registration Representative, Admitting Er

DHR Health - US:

TX:

Edinburg - Days

Summary:

FLSA STATUS:
Exempt Non-Exempt

MISSION STATEMENT:

Our Mission is to improve the well-being of those we serve with a commitment to excellence: every patient, every encounter, every time.

VISION:

Our Vision is to create a world-class health system to advance medicine and increase access for the communities we serve by empowering caregivers to heal through compassion, knowledge, innovation, integrated care and excellence.

POSITION SUMMARY:

The Patient Registration Representative performs general registration functions including appointment scheduling, collection of applicable co-pays, co-insurance, and deductibles and utilizing the computer system. Obtains complete and accurate patient demographic, insurance, financial information and patient benefits/eligibility; referral/pre-authorizations/pre-certifications approvals from insurance companies and physician offices.

POSITION EDUCATION/

QUALIFICATIONS:

· High School Diploma/GED is required.

· Excellent customer service skills.

· Computer skills required with knowledge of Microsoft Office suite.

· Good written and verbal communication skills required.

· Bilingual – English/Spanish.

JOB KNOWLEDGE/EXPERIENCE­:

· Must be able to respond to patient needs by interpreting facial expressions and to communicate effectively utilizing verbal and written communications.

· One (1) year of related customer service experience

· Requires reasoning ability and good independent judgment.

· Requires working with frequent interruptions and have strong customer service skills.

· Must have good working knowledge of computers.

· Knowledge of medical terminology and the ability to communicate in both Spanish and English is strongly preferred.

Responsibilities:

POSITION RESPONSIBILITIES:

· Promotes the facility mission, vision and values by effectively communicating them to others. Considers mission, vision and values in developing services, standards and practices

· Demonstrates high quality Service Excellence, positive customer service and telephone etiquette by treating all customers with dignity and respect; utilizing age specific skills and knowledge.

· Ensures patient confidentiality requirements are met in accordance with HIPAA policies and procedures.

· Interviews patient or responsible party to obtain demographic information required to register the patient accurately.

· Obtains and reviews doctor's orders for appropriate signature, date, diagnosis and admission status prior to registration.

· Communicates effectively with doctor's office to obtain orders when missing or when additional diagnosis is needed for medical necessity.

· Reviews and confirms patient's financial information by obtaining the insurance carrier information, benefit information, policy number, group name and group number.

· Ability to identify the appropriate coordination of benefits for insurance carrier.

· Utilizes on-line verification systems, i.e. TMHP, FISS, and Availity, etc., for eligibility.

· Explains rates, estimates charges for services and hospital policy regarding up-front collections as needed.

· Opens and closes cash batches appropriately and uses the approved naming guidelines.

· Collects deductibles, co-pays, unpaid balances and co-insurance payments and provides patient a receipt.

· Determines financial status and refers patient for financial screening as appropriate.

· Adheres to Administration on-call schedule, if Financial Counselor is off duty.

· Performs appointment scheduling functions and registers patients for ancillary services.

· Initiates Order Management to enter orders as needed.

· Reviews records of any prior patient visits to determine status of any unpaid balances.

· Ability to take over the counter payments from patient statements.

· Ensures referral/pre-authorization/pre-certification requirements have been met.

· Accurately completes the Medicare Secondary Payer (MSP) form as appropriate.

· Initiates Pathway Compliance Advisor to determine if an ABN will need to be provided to patient for services identified as not medically necessary.

· Provides patient the Important Message from Medicare for all…